Active NPI
Stephen Andrew Gillen, D.C.
- Chiropractor
- Gilbert, AZ
National Provider Identifier
1912188129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7987
- Practice address
- 235 E Warner Rd
Suite B104
Gilbert, AZ 85296-2972 - Phone
- (480) 633-3151
- Fax
- (480) 383-6076
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7987 | AZ | Primary |
Addresses
Primary practice location
235 E Warner Rd
Suite B104
Gilbert, AZ 85296-2972
Mailing address
PO Box 1697
Queen Creek, AZ 85142-1837
Phone (480) 633-3151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Rehab LLC | Chiropractor | Current | Accepting new patients |
Locations
235 E Warner Rd
Ste B104
Gilbert, AZ 85296
Phone (480) 633-3151
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Gilbert, AZ
- NPI 1891315446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1912188129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1697",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851421837",
"telephone_number": "480-633-3151",
"fax_number": "480-383-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E WARNER RD",
"address_2": "SUITE B104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962972",
"telephone_number": "480-633-3151",
"fax_number": "480-383-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLEN",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.